MPFS Allowed Amount (RVU x GPCI x CF)
Medicare PFS payment from RVUs: (work x workGPCI + PE x peGPCI + MP x mpGPCI) x conversion factor x units, non-facility and facility, with the site-of-service differential.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Work RVU
- 1.92
- Practice-expense RVU, non-facility
- 1.5
- Practice-expense RVU, facility
- 0.69
- Malpractice RVU
- 0.13
- GPCI entry mode
- Enter GPCI triplet by hand
- Work GPCI
- 1
- Practice-expense GPCI
- 1
- Malpractice GPCI
- 1
- Conversion factor
- 32.7442
- Units
- 1
Result: Non-facility allowed $116.24; facility $89.72; site-of-service differential $26.52.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Work RVU
- Practice-expense RVU, non-facility
- Practice-expense RVU, facility
- Malpractice RVU
- Work GPCI
- Practice-expense GPCI
- Malpractice GPCI
- Conversion factor ($)
- Units (default 1)
- GPCI entry mode (manual)
How this is calculated
42 CFR 414.20-414.22 (RVU components and GPCI adjustment); SSA 1848(b); the annual CMS PFS Final Rule conversion factor and PFS Relative Value Files. Allowed = [workRVU*workGPCI + peRVU*peGPCI + mpRVU*mpGPCI] x CF. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.
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